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Monarch
Concord, North Carolina

Certified Occupational Therapist Assistant, Child Crisis Services, Non-Exempt

Occupational Therapy AssistantNo weekendsFull-Time

Listed compensation

$27/hour

The week · per this posting · Monday – Friday

Ask the employer about call expectations, nights and shift pattern and time off.

Posted 22m ago · Verified live

Job Description

Scheduled Weekly Hours

40

Schedule: Monday-Friday (8am-5pm)

Pay Range Minimum

$26.50

Education We're Looking For

Associates: Occupational Therapy (Required)

Certifications We're Looking For

Certified Occupational Therapy Assistants (COTA) - State Board of Occupational Therapy

Experience We're Looking For

Experience with children/youth/adolescents in a Crisis setting | Not Required Experience working with children, adolescents, or transition-aged youth with a mental health diagnosis, an intellectual/developmental disability, or substance use disorder | Not Required Experience working with youth with Serious Emotional Disturbance (SED) | 1 year | Not Required

Job Description Summary

The primary responsibility of the Certified Occupational Therapist Assistant (COTA), Child Crisis, is to provide individual and group mental health occupational therapy services to youth/adolescents at the Psychiatric Residential Treatment Facility. The COTA will also collaborate with and mentor/lead the Behavioral Technicians as needed to ensure that the youth served are engaged in quality treatment in a safe milieu while under the supervision of licensed Occupational Therapist.

What You'll Do

  • Collaboratively address the occupational needs of individuals, groups, and populations via provision of quality and outcome oriented occupational therapy services, by following plan of care outlined by occupational therapist and using person and occupation-centered interventions.
  • Document intervention and progress toward goals adhering to reimbursement and practice act standards.
  • Collaborate with treatment team for care coordination and incorporation of OT services in the individual’s person-centered plan/treatment plan while admitted to crisis unit.
  • Educate an individual’s family and other natural supports about how to accommodate and support occupational engagement.
  • Plan, organize, and hold group sessions daily.
  • Supervise ancillary staff under the supervision of an OTR/L and supervise level I OT/OTA students and level II OTA students in compliance with state practice guidelines.
  • Attend and actively participate in meetings and trainings as required.
  • Maintain certification/licensure in all agency, state and federal training requirements.
  • Maintain all necessary documentation and records in a timely manner. This may include the use of an Electronic Health Record system (EHR).
  • Demonstrate knowledge of and comply with all agency policies and procedures, as well and service definitions related to specific programs.
  • Complete all other relevant responsibilities as assigned by the supervisor.
  • Provides and ensures care to youth served is promotes safety, rights, confidentiality, comfort, and dignity is in a therapeutic environment.
  • Ensures that the milieu is conducive to recovery and crisis stabilization that is within the parameters of the individual’s treatment and crisis plans.
  • Completes documentation as required for groups, progress notes, etc. Complete assessments as required. Provides input on admission and discharge summaries.
  • Will lead or co-lead groups with the youth, daily on topics such as, but not limited to, activities of daily living, functional mobility, cognitive, perceptual, family, and individual supported education.
  • Attend and actively participate in interdisciplinary team meetings, other internal and external meetings and trainings as required. Maintain certification in all agency, state, and federal training requirements.
  • Maintain trainings as required and requested
  • Demonstrate knowledge of emergency procedures and assist in crisis situations
  • Demonstrate knowledge of and comply with all agency policies and procedures
  • Complete all other relevant responsibilities assigned by the supervisor
  • Driving and travel may be required.
  • Completion of an accredited occupational therapy educational curriculum.

Benefits

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members.

In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location.

We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch Healthcare, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members.

We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare Is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.

Department: BH - Certified Professional

Key Responsibilities

The COTA provides individual and group mental health occupational therapy services to youth in a residential crisis facility. They also collaborate with the treatment team and supervise behavioral technicians to ensure safe and quality care.

Requirements

Candidates must hold an Associate degree in Occupational Therapy and be a Certified Occupational Therapy Assistant (COTA). Experience with youth in crisis or mental health settings is preferred but not required.

Key Skills

Mental health servicesCrisis interventionPatient documentationGroup facilitationStaff supervisionTreatment planningElectronic health recordsBehavioral healthPatient educationSafety protocolsInterdisciplinary collaboration

Physical Therapy — Occupational Therapist Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$55k midpoint carries the purchasing power of roughly $58k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Physical Therapy pay on WeekdayDoc is up 24.8% vs. the prior quarter (through Oct 2026).

What does the Physical Therapy market look like in North Carolina?
MeasureThis jobMarket
Work-life score6.0 / 10 · above average in occupational therapy assistantranked against 1,043 Occupational Therapy Assistant listingslisting-based score, 0–10
Listed pay$55kPhysical Therapy median $64k (middle half $64k–$69k)11 comparable listings, Nov 2026
Cost-of-living adjusted pay~$58k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Sign-on & loan repaymentnot statedNorth Carolina occupational therapist listings (all specialties): 15% state a sign-on bonus (median $5k) · 7% offer loan repayment282 active listings, Nov 2026
New Physical Therapy listings7,480 in the last 30 days4,645 the 30 days before (+61%)U.S., first seen on WeekdayDoc, Nov 2026
Physical Therapy pay trend+24.8% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (1,043 Occupational Therapy Assistant listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Certified Occupational Therapist Assistant, Child Crisis Services, Non-Exempt at Monarch a 6.0 out of 10 for work-life balance — classified as good. This places the position in the Above average in Occupational Therapy Assistant — ranked against 1,043 active Occupational Therapy Assistant listings on WeekdayDoc. Contributing factors include no weekend requirements.

Work-life snapshot

median 4.8this job 6.0
Better work-life than 60% of Occupational Therapy Assistant listings

Listing-based score, 0–10, across 1,043 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • On-site

Living in Concord

Typical 3-bedroom home value
$335k
Typical market rent
$1,784/mo
Residents’ average commute
27 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.